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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERET'l PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wwv✓.everettwa.urg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />ek r_(tiZ SAv <br />Owner Mall Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />Ise /d /v cnk s'` vl_� I�� �✓a.K� 5 i e.r� �, V 'R-2 rx <br />Electrical Contractor Mail Address City State/Zip Phone <br />q24—23( pia f( <br />ELrc_Tc_l°13 i tt 17oa <br />Slate License Number Contract Price of Work <br />n <br />d U3 <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: '_t S t r <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily that I have read and examined this application end know the same to bo true and <br />comrcf. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of thisproperly to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />g-2-07 <br />'ignWUre Data <br />